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Individual

DR. VIRGINIA KAYE SAMUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2757 LAUREL ST, SUITE 4, COLUMBIA, SC 29204-2037
(803) 252-4966
(803) 252-1984
Mailing address
2757 LAUREL ST, SUITE 4, COLUMBIA, SC 29204-2037
(803) 252-4966
(803) 252-1984

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1561
SC
111NI0900X
Internist Chiropractor
1561
SC
225X00000X
Occupational Therapist
3722
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH1561
SC
Enumeration date
07/27/2006
Last updated
02/05/2020
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